Mr Bibin Chacko, is a
Speech-language Pathologist based in Patterson, California. Mr Bibin Chacko is licensed to practice in * (Not Available) (license number ) and his current practice location is
535 Peregrine Dr, Patterson, California. He can be reached at his office (for appointments etc.) via phone at
(209) 892-4710.
NPI number for Mr Bibin Chacko is 1932713104 and his current mailing address is 1548 Canal Farm Ln Apt 6c, Los Banos, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932713104.
Healthcare Provider's Profile
| Full Name | Mr Bibin Chacko |
|---|
| Gender | Male |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 535 Peregrine Dr, Patterson, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932713104
- Provider Enumeration Date: 09/03/2020
- Last Update Date: 09/03/2020
Medical Identifiers
Medical identifiers for Mr Bibin Chacko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932713104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bibin Chacko is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Bibin Chacko,
1548 Canal Farm Ln Apt 6c,
Los Banos, CA 93635-4430
Ph: (310) 874-7766 | Mr Bibin Chacko,
535 Peregrine Dr,
Patterson, CA 95363-8703
Ph: (209) 892-4710 |
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